Cancer Control Review

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(More customer reviews)These guys have literally written the book on Cancer Control!
Drs Sutcliffe and Elwood have come forth with the definite text showing how a population-based approach to comprehensive cancer control can over time reduce cancer incidence and mortality, extend cancer survival, and improve quality of life and the quality of the end-of-life for cancer patients, cancer survivors, and entire populations.
Essential reading for anyone involved in cancer prevention and control, this scholarly but readable text will be an eye-opener for most health system planners and administrators (both at national and state levels), private health plan managers, employers, and health benefits managers regarding just how much more cancer control could be achieved with current spending or modest increases in spending.
It is also a practical guide for civil society advocates who mobilize and campaign for more effective cancer prevention and cancer care: what they can and should demand of health system managers and those who finance the range of activities and services that constitute Cancer Control.

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Cancer control is the term applied to the development of integrated population-based approaches to reduce the incidence and mortality from cancer and to minimize its impact on affected individuals and on the community. It covers a spectrum of prevention, early diagnosis, optimal treatment, and supportive and palliative care. It emphasizes the application of new knowledge gained through research to achieve current best practice. Cancer control has become a political priority in many countries in recent years, with the evolution of both national and regional cancer control strategic plans. The integrated nature of cancer control, involving a wide spectrum of health care professionals, researchers, and health managers and planners, is reflected in this multi-disciplinary text, which is the first in this rapidly developing field.

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Cost-Effectiveness in Health and Medicine Review

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(More customer reviews)This book pulls together a lot of information, but in my opinion it is written and organized very very poorly. I have over 10 yrs of experience in in the healthcare industry and came across this book during a grad level course in CEA.
Long, boring, convoluted sentences fill the pages of this book. It took about 3 times more time and effort to get through a page in this book compared to a page in respected journals like JAMA, NEJM, BMJ etc.
If you have lots of time and are doing research in this field - go for it. Alternatively if you want to quickly determine what CEA is about, I would recommend reading Peter Muennig and Kamran Khan "Designing and Conducting Cost-Effectiveness Analyses in Medicine and Health Care".

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A unique, in-depth discussion of the uses and conduct of cost-effectiveness analyses (CEAs) as decision-making aids in the health and medical fields, this volume is the product of over two years of comprehensive research and deliberation by a multi-disciplinary panel of economists, ethicists, psychometricians, and clinicians. Exploring cost-effectiveness in the context of societal decision-making for resource allocation purposes, this volume proposes that analysts include a "reference-case" analysis in all CEAs designed to inform resource allocation and puts forth the most explicit set of guidelines (together with their rationale) ever defined on the conduct of CEAs. Important theoretical and practical issues encountered in measuring costs and effectiveness, evaluating outcomes, discounting, and dealing with uncertainty are examined in separate chapters. Additional chapters on framing and reporting of CEAs elucidate the purpose of the analysis and the effective communication of its findings.Cost-Effectiveness in Health and Medicine differs from the available literature in several key aspects. Most importantly, it represents a consensus on standard methods--a feature integral to a CEA, whose principal goal is to permit comparisons of the costs and health outcomes of alternative ways of improving health. The detailed level at which the discussion is offered is another major distinction of this book, since guidelines in journal literature and in CEA-related books tend to be rather general--to the extent that the analyst is left with little guidance on specific matters. The focused overview of the theoretical background underlying areas of controversy and of methodological alternatives, and, finally, the accessible writing style make this volume a top choice on the reading lists of analysts in medicine and public health who wish to improve practice and comparability of CEAs. The book will also appeal to decision-makers in government, managed care, and industry who wish to consider the uses and limitations of CEAs.

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Next Medicine: The Science and Civics of Health Review

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(More customer reviews)The title of the latest book by Walter Bortz, a distinguished member of the medical establishment, a pioneer in the field of geriatrics, and a prolific author, understates its true purpose. Next Medicine is really a manifesto for a revolution in our health care system. Dr. Bortz provides a brilliant and damning diagnosis of the maladies that beset our present, dysfunctional system and offers a prescription for change that would have transformative effects if it were to be followed. One of his later chapter headings says it all. We must move from a system that is focused on "repair" to one that is focused on "prevention." That would mean a dramatic life-style change for almost all of us, but Dr. Bortz points out that it would essentially be free, and he sets us a personal example. He recently ran his 40th marathon race in honor of his 80th birthday.
We currently spend twice as much per capita on health care as any other major nation with the poorest outcomes of all in terms of key health statistics. This must change, but neither the Republicans nor the Democrats have offered a viable solution. Dr. Bortz does, but it would involve a radical paradigm shift. As he points out, the "medical-industrial complex" has a huge vested interest in the present system, but we don't have to wait for our doctors to see the light. We can move on our own to dramatically reduce their work load. The payoff would be that we would spend far less on health care collectively and lead much healthier lives.
We should take the good doctor's advice.


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